Preoperative evaluation of respiratory muscle strength, lung function and functional capacity of patients undergoing lung resection

Main Article Content

Letícia Baltieri
Ana Isabela Morsch Passos
Fernanda Diório Masi Galhardo
Lígia dos Santos Roceto
Ivan Felizardo Contrera Toro

Abstract

Introduction: Lung cancer can cause deterioration in lung function and functional capacity, impairing patient outcome after resection. Objective: To evaluate the respiratory muscle strength, lung function and functional capacity of patients in preoperative of lung resection for cancer, compared to normal values and staging. Methods: Patients of both genders were included aged 30–80 years with a diagnosis of lung cancer awaiting pulmonary resection surgery. Preoperative evaluation included measurement of respiratory muscle strength by manometer, lung function by spirometry and functional capacity through the sixminute walk test (6MWT). The values obtained were compared with predicted values obtained from equations proposed in the literature and compared the staging initial and advanced. Results: 59 patients with a mean age of 58.5±9.46 years were evaluated. There was a statistically significant difference between the obtained and the predicted values for maximum expiratory pressure (MEP): respectively 91 and 111.8 cmH2O, forced vital capacity (FVC): 3.14 and 4.08 L; forced expiratory volume in the first second (FEV1): 2.42 and 3.12 L; FEV1/FVC: 75 and 101%; and functional capacity: 453.9 and 562.9 m, in which the patients had lower values than those predicted by the literature, except FVC. There was no difference for inspiratory muscle strength (MIP: 110 and 102 cmH2O). Among the groups of patients only showed a difference of FVC (initial: 2.89; advanced: 3.41 L). Conclusion: Patients diagnosed with lung cancer in preoperative of resection, have impairments in expiratory muscle strength, lung function and functional capacity.

Downloads

Download data is not yet available.

Article Details

How to Cite
Baltieri, L., Passos, A. I. M., Galhardo, F. D. M., Roceto, L. dos S., & Toro, I. F. C. (2015). Preoperative evaluation of respiratory muscle strength, lung function and functional capacity of patients undergoing lung resection. ABCS Health Sciences, 40(1). https://doi.org/10.7322/abcshs.v40i1.699
Section
Original Articles

References

Instituto Nacional do Câncer (INCA). Tipos de câncer: pulmão [Internet]. Disponível em: http://www2.inca.gov.br/wps/wcm/connect/tiposdecancer/site/home/pulmao/definicao. Acesso em: 31 ago. 2014.

Brandão DS, Haddad R, Marsico GA, Boasquevisque CHR. Aspectos clínico-patológicos do carcinoma bronquioloalveolar e sobrevida em pacientes no estágio clínico I. J Bras Pneumol. 2010;36(2):167-74. http://dx.doi.org/10.1590/S1806-37132010000200003

Secretan B, Straif K, Baan R, Grosse Y, El Ghissassi F, Bouvard V, et al. A review of human carcinogens - Part E: tobacco, areca nut, alcohol, coal smoke, and salted fish. Lancet Oncol 2009; 10(11):1033-4. http://dx.doi.org/10.1016/S1470-2045(09)70326-2

Jamnik S, Santoro IL, Borges EL, Uehara C, Silva VV. Estudo comparativo de fatores prognósticos em portadores de carcinoma não-pequenas células de pulmão: sobrevida superior a cinco anos e inferior a um ano. Rev Bras Cancerol. 2009;55(1):5-10.

Win T, Groves AM, Ritchie AJ, Wells FC, Cafferty F, Laroche CM. The effect of lung resection on pulmonary function and exercise capacity in lung cancer patients. Respir Care. 2007;52(6):720-6.

Lima LNT, Silva RA, Gross JL, Deheinzelin D, Negri EM. Avaliação da função pulmonar e da qualidade de vida em pacientes submetidos à ressecção pulmonar por neoplasia. J Bras Pneumol. 2009;35(6):521-8. http://dx.doi.org/10.1590/S1806-37132009000600005

Borges-Santos E, Genz ICH, Longo AF, Hayahsi D, Gonçalves CG, Bellinetti LM, et al. Comportamento da função pulmonar, força muscular respiratória e qualidade de vida em pacientes submetidos às toracotomias eletivas. Rev Col Bras Cir. 2012;39(1):4-9. http://dx.doi.org/10.1590/S0100-69912012000100003

Stephan F, Boucheseiche S, Hollande J, Flahault A, Cheffi A, Bazelly B, et al. Pulmonary complications following lung resection: a comprehensive analysis of incidence and possible risk factors. Chest. 2000;118(5):1263-70.

Bellinetti LM, Thomson JC. Avaliação muscular respiratória nas toracotomias e laparotomias superiores eletivas. J Bras Pneumol. 2006;32(2):99-105. http://dx.doi.org/10.1590/S1806-37132006000200004

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Instituto Nacional de Câncer. TNM: classificação de tumores malignos. 6 ed. Rio de Janeiro: INCA; 2004 [Internet]. Disponível em: http://www.inca.gov.br/tratamento/tnm/tnm2.pdf. Acesso em: 10 dez. 2014.

Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res.1999;32(6):719-27. http://dx.doi.org/10.1590/S0100-879X1999000600007

Brusasco V, Crapo R, Viegi G. Series “ATS/ERS Task Force: standardisation of lung function testing”. Eur Respir J. 2005;26(2):319-38. http://dx.doi.org/10.1183/09031936.05.00034805

Pereira CAC, Sato T, Rodrigues SC. Novos valores de referência para espirometria forçada em brasileiros adultos de raça branca. J Bras Pneumol. 2007;33(4):397-406. http://dx.doi.org/10.1590/S1806-37132007000400008

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the Six-Minute Walk Test. Am J Respir Crit Care Med. 2002;166(1):111-7. http://dx.doi.org/10.1164/ajrccm.166.1.at1102

Britto RR, Probst VS, Dornelas de Andrade AF, Samora GAR, Hernandes NA, Marinho PEM, et al. Reference equations for the six-minute walk distance based on a Brazilian multicenter study. Braz J Phys Ther. 2013;17(6):556-3. http://dx.doi.org/10.1590/S1413-35552012005000122

Novaes FT, Cataneo DC, Ruiz Junior RL, Defaveri J, Michelin OC, Cataneo AJM. Lung cancer: histology, staging, treatment and survival. J Bras Pneumol. 2008;34(8):595-600.

Filardo FA, Faresin SM, Fernandes ALG. Validade de um índice prognóstico para ocorrência de complicações pulmonares no pós-operatório de cirurgia abdominal alta. Rev Assoc Med Bras. 2002;48(3):206-16. http://dx.doi.org/10.1590/S0104-42302002000300032

Degani-Costa LH, Faresin SM, Falcão LFR. Avaliação préoperatória do paciente pneumopata. Rev Bras Anestesiol. 2014;64(1):22-34. http://dx.doi.org/10.1016/j.bjan.2012.11.002

Colice GL, Shafazand S, Griffin JP, Keenan R, Bolliger CT; American College of Chest Physicians. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd Edition). Chest. 2007;132(3 Suppl):161S-77. http://dx.doi.org/10.1378/chest.07-1359

Silva DR, Baglio PT, Gazzana MB, Barreto SSM. Avaliação pulmonar e prevenção das complicações respiratórias perioperatórias. Rev Bras Clin Med. 2009;7(2):114-23.

Cataneo DC, Kobayasi S, Carvalho LR, Paccanaro RC, Cataneo AJM. Accuracy of six minute walk test, stair test and spirometry using maximal oxygen uptake as gold standard. Acta Cir Bras. 2010;25(2):194-200. http://dx.doi.org/S0102-86502010000200013

Agostini P, Calvert R, Subramanian H, Naidu B. Is incentive Spirometry effective following thoracic surgery? Interact Cardiovasc Thorac Surg. 2008;7(2):297-300. http://dx.doi.org/10.1510/icvts.2007.171025

Passos AIM, Baltieri L, Galhardo FDM, Roceto LS, Figueiredo LC, Toro IFC. Utilização da ventilação mecânica não invasiva no pós-operatório de ressecção pulmonar. Rev Saúde Pesquisa. 2013;6(3):399-407.

Lefebvre A, Lorut C, Alifano M, Dermine H, Roche N, Gauzit R, et al. Noninvasive ventilation for acute respiratory failure after lung resection: an observational study. Intensive Care Med. 2009;35(4):663-70. http://dx.doi.org/10.1007/s00134-008-1317-z

Perrin C, Jullien V, Vénissac N, Berthier F, Padovani B, Guillot F, et al. Prophylactic use of non-invasive ventilation in patients undergoing lung resectional surgery. Respir Med. 2007;101(7):1572-8. http://dx.doi.org/10.1016/j.rmed.2006.12.002

Lawrence VA, Cornell JE, Smetana GW. Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med. 2006;144(8):596-608. http://dx.doi.org/10.7326/0003-4819-144-8-200604180-00011

Canet J, Mazo V. Postoperative pulmonary complications. Minerva Anestesiol. 2010;76(2):138-43.

Morano MT, Araújo AS, Nascimento FB, Silva GF, Mesquita R, Pinto JS, et al. Preoperative pulmonary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection: a pilot randomized controlled trial. Arch Phys Med Rehabil. 2013;94(1):53-8. http://dx.doi.org/10.1016/j.apmr.2012.08.206